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Diagnosis and treatment of portal biliopathy |
Zhen-Ping He and Lin-Jun Fan |
From the Southwest Hepatobiliary Surgery Institute, Third Military Medical University, Chongqing 400038, China (He ZP and Fan LJ)
Correspondence: Zhen-Ping He, MD (Tel: 86-23-68754391; Email: hezhenping@263.net, or hezhenping@ya hoo.com.cn) |
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Abstract Background: Portal biliopathy producing intrahepatic and extrahepatic biliary ductal abnormalities from portal hypertension, particularly with extrahepatic portal vein obstruction (EHPVO) is common. A majority of these patients are asymptomatic, but occasionally there is symptomatic biliary obstruction, and cholangitis and choledocholithiasis.
Objective: To explore the principles of diagnosis and treatment of portal biliopathy.
Data sources: To review the literature of portal biliopathy.
Conclusions: Endoscopic sphincterotomy, stone extraction and supportive drainage could effectively relieve cholangitis when jaundice is associated with common bile duct stones. Definitive decompressive portal-system vein shunting operation and choledocho-jejunostomy are sometimes required when biliary obstruction is recurrent and progressive.
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